Individual
TALIA WISECARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
616 E CHURCH ST, STE A, GREENEVILLE, TN 37745-5084
(423) 639-3213
(423) 467-3644
Mailing address
1167 SPRATLIN PARK DR, GRAY, TN 37615-6205
(423) 467-3600
(423) 467-3644
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/15/2014
Last updated
01/15/2014
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